SHANE D JOHNSON
Nursing at Mimosa Dr, Kingsley Lake, FL

License number
Florida 217932
Issued Date
Jun 18, 2010
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
365 E Mimosa Dr, Kingsley Lake, FL 32091
Phone
(904) 769-3851
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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